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General NPI Number Information
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NPI Number | 1750714515
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Entity Type | Organization
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Legal Business Name | BALANCED BODY REHAB LLC
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 690 S GEYER RD
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City | SAINT LOUIS
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State | MO
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Zip | 63122-5935
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Country | US
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Telephone | 314-780-9759
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Fax | 888-898-5857
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Provider Business Mailing Address
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Address Line | 690 S GEYER RD
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City | SAINT LOUIS
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State | MO
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Zip | 63122-5935
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Country | US
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Telephone | 314-780-9759
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Fax | 888-898-5857
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSH A BORGMEYER
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Credential | PT, DPT, MTC
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Telephone | 314-780-9759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | MO
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